What Is MIS?
Fellowship Trained Surgeons
Who is Texas MIS?
Slide 4



The Texas Neurosurgical Institute is a multi-specialty Neurosurgical Center of Excellence. The focus of the Institute is General, Complex, and Minimally Invasive Spine Surgery. The Texas Neurosurgical Institute is one of the few surgical spine groups in the Dallas area with Neurosurgeons that are Fellowship Trained exclusively in Minimally Invasive Spine Surgery, in addition to general spine and cranial Neurosurgery.  Neurosurgeons with this level of specific training in minimally invasive spine surgery are very rare and difficult to find when spine care is needed.

The Director of the Institute, Dr. Christopher Duntsch, trained with Dr. Kevin Foley in a prestigious one-on-one Fellowship in Minimally Invasive Spine Surgery. Other areas of focus are chronic pain, complex spine disease, degenerative deformity in adults, neuromodulation, peripheral nerve injuries, neurologic trauma, and spine trauma. The Institute provides the best clinical care available, and uses the most current surgical technology and approaches.

To create a well-rounded and comprehensive clinical model, the Texas Neurosurgical Institute engages in scientific research, physician and community seminars, and teaching at the undergraduate, graduate, and postgraduate levels. More importantly, the Texas Neurosurgical Institute practices medicine and leads the neurosurgical spine field through its collaboration and partnering with the academic community, the biotechnology sector, and the spine industry.


Texas Neurosurgical goes National:  To review the link, go the homepage, www.texasmis.com > The Institute > Texas Neurosurgical Institute, scroll to the bottom. A formal program is  planned  and will be in place soon.  We have created this paradigm because we have so many patients coming into Dallas for spine care from all over the US, and because they have different needs than patients that live in Dallas.



Sundays on Channel 33 at 10 am, or on the Internet on YouTube, see and hear Dr. Duntsch review minimally invasive spine surgery and spine biologics.  Included are interviews of Dr. Duntsch’s patients describing their experiences with him, care in his clinic, their minimally invasive spine surgeries,  and how well they have done in the days and months that followed.  

Mrs. Trusty had dealt with back, neck, shoulder, and arm pain for nearly five years. After exhausting all options, she needed spine and peripheral nerve surgical fixation and decompression. She was treated with a 1 inch incision, 70 minute same day surgery, and is now fully recovered and pain free.

Mrs. Mock, had a traumatic L4 burst fracture at 74 years of age, significant osteoporosis, degenerative scoliosis, and potentially crippling lower spine instability.   She was treated with an XLIF minimally invasive L4 corpectomy, L3-L5 cage, and in situ plus posterior minimally invasive spine instrumentation and fusion. The entire procedure was done through a 1 inch lateral incision  laterally, and 4 8 mm incisions posteriorly.  She was in the hospital for 3 days, and after two weeks she was asking if she could return to work. She too is fully recovered and doing well.

Mr Muse, 42, was a young athletic male who presented with intractable debilitating axial mechanical back pain.  He was not happy with his spinal condition and its interference will all aspects of his life.  Of note, he was a 15 mile per day long distance runner over 20 years (>20000 miles over 2 decades!). His MRI demonstrated a very low grade spondylothesis with an anterior annular tear at L5S1.  However, his spinal discs, even at L5S1 looked reasonably healthy. His posterior column facets were all significantly arthritic and degenerative, and he had significant hyperintense fluid at the facet interface with fluid accumulation (worst at L4L5 and L5S1).  Facet disease in a select few can develop rapidly with age and wear and tear disease, and cause severe axial mcchanical back pain.  The type of spinal pathology can be as painful and debilitating as anterior spinal discogenic pain. He was offered a large front and back surgery for discectomy/instrumentation/fusion of the disc at L5S1 anteriorly, He would then be flipped and the posterior  spine instrumented and fused.  This would include large complex open invasive surgery, several days in the hospital, high risk of iatrogenic proximal  tissue  / structure damage, and 6 months to recover and fully fuse.  In a second opinion with me in my clinic, I offered him a  same day surgery posterior instrumentation/posterior-lateral fusion, and a minimally invasive spine surgery approach.  His surgery took 60 minutes, he went home the same day, and was pain free and doing well at 1 month, and at 3 months playing golf (against my request to wait until 6 months).

Mr. Cada, 71, had severe leg pain in several areas bilaterally and spanning L23 to L5S1 (3 of the 4 levels involved). He was offered a minimally invasive spine surgery for decompression of all symptomatic radicular levels. The surgery lasted 2 hours, and we were able to completely decompress his nerve roots bilaterally at all levels with a 22mm upper lumbar and a 16mm lower lumbar incision (right paracentral) to the spine, all from a unilateral approach. He woke up pain free in both legs, and was discharged home the next morning.  At one month, he remains pain free and is doing well. Thus, he was safely treated, without the need for a large invasive incision, and without the risk of destabilizing his spine that can  occur with a traditional open approach, years later.


Click on the best doc icon below to see their experiences on U-Tube.